HomeMy WebLinkAbout0050 OAK LANE - Health 50 OAK LANE
OSTERVILLE
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West Roxbury construction and Painting 672 Lagrange St.
West Roxbury, MA, 02132
(617)325-4040
Invoice for service:
Date: March 27, 2006
To: Paul M. Kelly and Sybil Cary
Location: 50 Oak Lane, osteiw 10, MA
Phone: 508-428-1885
Work Performed: .
1. Remove door on first floor study area
2. Increase opening of door space to 5 feet
a. remove-old moldings
b. cut to 5' wide
c. re-stud
d. replace molding and repair wall as needed
e, re-paint
3. Move electrical switch box
4. Patch floor boards where old wall was
Total: Labor and materials $1,550 00,
Thank you for your business!
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E/E'd 080'ON 1N3WdO_13A3Q'003/W00 3_19d1SNNdH—__LWdi S:T _ ,-9002'ET'ddd
No. Ll Feej �
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
21p plication for Oigozal 6potem Congtruction Permit
Application for a Permit to Construct( )Repair(ve")Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.50 Owner's Name,Address and Tel.No.
�'oS�KII��� SneAA.' 'Peal -I;clly
Assessor's Map/Parcel 70.Box 337
/4 Z ^ 24 �GnniJ�MA.d't6GP
Installer's Name,Address,and Tel.No. I I I �je J/i11Designer's Name,Address and Tel.No.
SA Is 7uiAitiIZ�• IJG��
Box.
4 M 0016 S' C az- Ai
Type of Building:
Dwelling No.of Bedrooms °Z' Lot Size sq.ft. Garbage Grinder( )
Other Type of Building h No. of Persons / Showers( ) Cafeteria( )
Other Fixtures
Design Flow 3�0 gallons per day. Calculated daily flow 330 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank ggA&1!!f /0009,0% SA Type of S.A.S. 3 dju44cjr` 330" iva f SY6&w-
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)Zi eplac� �nc�iwa 1 erach� .3 Oox,i�adFer.330s
W/ 3 im- 1 W 51�i ue
Date last inspected:
Agreement:
. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and n'ot to place the system in operation until a Certifi-
cate of Compliance has been iss by this Board of al h.
Signed Date /S
Application Approved by Date S;'—!t1.
Application Disapproved for the foll tng reasons
Permit No. Date Issued
i
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Y ;
No. N ��� Fee.... r
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
0(ppYication for �Biopool 6potem Construction Permit
Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) ❑Complete System El Individual Components
Location Address or Lot No. 50 dA 60474 Owner's Name,Address and Tel.No.
'Po.3 ox 33 7 Y
Assessor's Map/ParcelOS ew P
Installer's Name,Address,and Tel.No. r / Designer's Name,Address and Tel.No.
IY�
,�odoXP
Yie f 114 ss oa 6?f
Y
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( )
Other Type of Building h No.•of Persons, / Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow 330 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank C?XSWr�-t' /0002AI. SfJ Type of S.A.S. .3 ;30'J 5104.e
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) c ;
t a/ 3 1w- 1 of 516-e
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this.Board of alth.
-- Signed Date /S
Application Approved by Date
Application Disapproved for the foll&4ng reasons
Permit No. . 9 — _`] Date Issued `
------ -------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY;that the On-site Sewage Disposal System Constructed( �Repaired ( )Upgraded( )
Abandoned( )b "Tr CQsAe5 uc kia.,4 � i?b. SAX 7 Y..=-4,45rA�
at 50 �fi � `2'M 5 has been constructed in accordance
with the provisions of Title anlihe for Disposal System Construction Permit No. -JAA,- "6��dated
Installer Designer A P7
The issuance_of this pe t shall not be construed as a guarantee that the s s em will' unction as defined.
Date �- Inspector 1 '✓ A*IM&I
-------_--------------------------------
No. a6 _ �"1 TrJ Fee�—
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
1=igpo!5ar *pztemCon!5truction Permit
Permission is hereby granted to Construct(✓°Repair( )Upgrade( )Abandon( )
System located at—�3*0 Od IV CIA/z, MA-,T
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date: Approved by :�7
1/6/99
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL y
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
I, C'ASA S lelylid r , hereby certify that the application for disposal works
construction permit signed by me dated ,Q�/S�d , concerning the
property located at �6} S�, (�sl�-yt fle meets all of the
following criteria:
• This failed system is connected to a residential dwelling only. There are no commercial or business
uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch.
• There are no wetlands within 100 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will not be located less than five feet above the maximum
adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when
applicable]
• If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed
leaching facility will not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation,
Please complete the following:
A) Top of Ground Surface Elevation(using GIS information) A .Y -D
�-G
B) G.W.Elevation o2 4 +the MAX. High G.W. Adjustment.
DIFFERENCE BETWEEN A and B
SIGNED : ��� (j L� DATE: 6/9/-00
.
[Please Sketch prop ed plan of system on back].
NOTICE
Based upon the above information,a repair permit will be issued for bedrooms maximum. No
additional bedrooms are authorized in the future without engineered septic system plans.
q:health folder:cert
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?? Health Inspector Town Of Barnstable
`r 6pTHE rp� Office Hours
�P` o Regulatory Services 8:30-9:30
,q ,•
Thomas F. Geller,Director 1:00-2:00
snaMvs BLE,
HASS. okPublic Health Division
pTFD Mai a Thomas McKean,Director '
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-63 C
AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
1. General Information: % < - Size of Property: 0 �7
Address: l ou- UfN t�f7 1/lC( ry Map .1 2- Parcelo2q-oOZ
Name: V Y��L /►UL 7� L� Phone #:
2a. How many bedrooms exist at your property now? .
2b. Are you planning to add any bedrooms? VO. If yes; how many?
2c. How many bedrooms total are proposed at.this property"(including the amnesty unit)?
2d. Please include a copy of the floor plans for the entire property - showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label .
each room clearly on the plans.
3. Is the dwelling connected to public sewer? YES or NO
If.ttte dwelling is,connected to pul:)lc sewer sk,p.questions#4 through#9 below'
4. Location of dwelling is INSIDE. or OUTSIDE a Zone of Contribution to public supply wells?
5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER?
6. Is a disposal works construction permit on file? €YES or, NO
6a. If yes,how many bedrooms were approved according to this permit? E Bedrooms:
7. Were any building permits obtained for construction of additional bedrooms? YES roF NO -
e--,
S. Is there an engineered septic system plan on file at the Health Division? YES o`r NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? + YES Ur NO
------------------� _ --, -----------------------------------____--------------------- -rT-'-
� 0 FOR OFFICE USE ONLY _
The Public Health Division has noobjection to vim, bedrooms at this property.
Special Conditions: '
Signed: Date:
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OWN OF BARNSTABLE 6` G
LOCATION ^� SEWAGE # BOG a.`L(sS�'
VII.LtlG$ ASSESSOR'S MAP& LOT
INSTALLER'S NAME 8c PHONE NO,
SEPTIC TANK CAPACITY D
LEACHING FACILITY' (type) s'- 'Ca •1.� 6PFsize) _ (DEC 2—,*%)
NO.OF BEDROOMS
BUILDER-OR OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
.. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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P. 1
COMMUNICATION RESULT REPORT ( OCT.28.2005 3:37PM )
TTI BARNSTABLE BOARD OF HEALTH
FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE
360 MEMORY TX ECNMC DEV OK P. 1/1
--------------------------------------------------------
REASON FOR ERROR
E-1) HANG UP OR LINE FAIL E-2) BUSY
E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION
! r�
Town of Barnstable Health Inspector
p Office Hours
Regulatory Services 8:30-9:30
Thomas.F. Geller,Director 1:00—2:00
MAIM
� a►iwsrq,� �
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-962-4644 Fax: 508490.63C
AMNESTY PROGRAM APPLICANT—SEPTIC QUESTIQNNAM
1. General Information, Size-of Property: OFZ7
Address: OV1LLX� Map 1��,PaxcelZ9-22,
Name: Phone
2a. blow many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms? IV o If yes, how many?
2a. How many bedrooms total are proposed at this property(inoluding the amnesty unit)?
2d.Please include a copy of the floor plans for the entire property-showi g the existing,
rooms in the home plus the proposed amnesty apartment and/or addition. )?lease label .
each roam cleatly on the plans.
j
JI TOWN OF BARNSTABLE
LOCATIONS O �� l� L�1'V ® SEWAGE # 'Za G 0-
VII,LAGE S� ��11-L ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. ( .G
SEPTIC TANK CAPACITY
LEACHING FACI.TTY: 120 Ifs ._
NO. OF BEDROOMS
BUILDER OR OWNS
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge.of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
I
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